| LCA CASE NUMBER | I-200-20205-732258 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-07-23 |
| DECISION DATE | 2020-07-30 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | General Surgeon |
| SOC CODE | 29-1067.00 |
| SOC TITLE | Surgeons |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-08-30 |
| END DATE | 2023-08-29 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Lake Cumberland Physician Practices, LLC |
| EMPLOYER ADDRESS1 | 26 Oxford Way |
| EMPLOYER CITY | Somerset |
| EMPLOYER STATE | KY |
| EMPLOYER POSTAL CODE | 42503 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16066795161 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Bartholomew |
| EMPLOYER POC FIRST NAME | Jason |
| EMPLOYER POC MIDDLE NAME | K. |
| EMPLOYER POC JOB TITLE | Senior Director, Physician Services |
| EMPLOYER POC ADDRESS1 | 26 Oxford Way |
| EMPLOYER POC CITY | Somerset |
| EMPLOYER POC STATE | KY |
| EMPLOYER POC POSTAL CODE | 42503 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16152935863 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Duong |
| AGENT ATTORNEY FIRST NAME | Hon-Vinh |
| AGENT ATTORNEY MIDDLE NAME | Quang |
| AGENT ATTORNEY ADDRESS1 | 511 Union Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2700 |
| AGENT ATTORNEY CITY | Nashville |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 37219 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | TENNESSEE |
| AGENT ATTORNEY PHONE | 16158508936.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Waller Lansden Dortch & Davis, LLP |
| STATE OF HIGHEST COURT | TN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 26 Oxford Way |
| LCA CASE WORKLOC1 CITY | Somerset |
| WORKSITE COUNTY | PULASKI |
| LCA CASE WORKLOC1 STATE | KY |
| WORKSITE POSTAL CODE | 42503 |
| LCA CASE WAGE RATE FROM | 208000.0 |
| LCA CASE WAGE RATE TO | 380000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000.0 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Katz (91937) |
| PREPARER FIRST NAME | Nora |
| PREPARER MIDDLE INITIAL | F. |
| PREPARER BUSINESS NAME | Waller Lansden Dortch and Davis |
| PREPARER EMAIL | [email protected] |
